A nurse observes that the healthcare facility is frequently understaffed during night shifts, leading to increased patient falls and medication delays. The nurse reports this concern to the nursing supervisor, but no immediate action is taken. What further ethical action might the nurse consider?

  • Remain silent and continue to do their best.
  • Publicly criticize the hospital on social media.
  • Document all incidents of compromised care and escalate concerns to higher management or regulatory bodies if necessary.
  • Refuse to work night shifts.
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